REGENTS OF THE UNIVERSITY OF CA (NPI# 1396997458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396997458 |
| Entity Type | Organization |
| Organization Name | REGENTS OF THE UNIVERSITY OF CA |
| Other Organization Name | UC DAVIS MEDICAL GROUP- MIND INSTITUTE |
| Practice Address |
2825 50th St Sacramento CA 95817-2310 |
| Mailing Address |
P.o. Box 61000 File #72784 San Francisco CA 94161-2784 |
| Practice Telephone | 9167030300 |
| Mailing Telephone | 9167349200 |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2009-06-05 |
| Authorized Official Name | DR. KURT J. SLAPNIK (CFO) |
| Authorized Official Telephone | 9167348203 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| UC Davis Medical Group- Mind Institute | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194705731 | Regents of The University of Ca | Clinic/Center | 10044 Wolf Rd, #a, Grass Valley, CA 95949-8193 | 2006-01-19 |
| 1245210889 | Regents of The University of Ca | Clinic/Center | 151 E Webster St, Colusa, CA 95932-2949 | 2006-01-19 |
| 1275526329 | Regents of The University of Ca | Internal Medicine | Tb 156, Davis, CA 95616 | 2005-08-24 |
| 1528051679 | Regents of The University of Ca | Internal Medicine | 1508 Alhambra Blvd, Sacramento, CA 95816-6510 | 2005-08-24 |
| 1164415238 | Regents of The University of Ca | Psychiatry & Neurology | 2230 Stockton Blvd, Sacramento, CA 95817-1419 | 2005-08-24 |
| 1770953960 | Regents of The University of Ca | Clinic/Center | 477 N El Camino Real, Suite A306, Encinitas, CA 92024-1328 | 2015-09-30 |
| 1992930986 | Regents of The University of Ca | Family Medicine | 4860 Y St, Ste 200, Sacramento, CA 95817-2307 | 2009-05-20 |
| 1578728077 | Regents of The University of Ca | Clinic/Center | 2521 Stockton Blvd, Ste. 5200, Sacramento, CA 95817-2207 | 2008-07-23 |
| 1124008719 | Regents of The University of Ca | Clinic/Center | 2000 O St, Ste 210, Sacramento, CA 95811-5224 | 2006-01-19 |
| 1891775441 | Regents of The University of Ca | Clinic/Center | 3301 C St, Sacramento, CA 95816-3300 | 2006-01-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | REGENTS OF THE UNIVERSITY OF CALIFORNIA | 1111 Franklin St, Flr 10, Oakland, CA 94607 |
| System for Award Management (SAM) Entities | REGENTS OF THE UNIVERSITY OF CALIFORNIA AT RIVERSIDE | 200 Universty Office Bldg, Riverside, CA 92521-0001 |
| System for Award Management (SAM) Entities | REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE | 1855 Folsom St Ste 425, San Francisco, CA 94143-4249 |
| Street Address |
2825 50TH ST |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817-2310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043293194 | Lauren B. Plumer | Pediatrics | 2825 50th St, Sacramento, CA 95817-2308 | 2005-11-22 |
| 1316505886 | Marie Louise Rocha | Behavioral Analyst | 2825 50th St, Sacramento, CA 95817-2310 | 2019-05-30 |
| 1982191870 | Rachel Balitsky | Behavioral Analyst | 2825 50th St, Sacramento, CA 95817-2310 | 2018-04-17 |
| 1275051534 | Ayaka Suzuki | Genetic Counselor, MS | 2825 50th St, Sacramento, CA 95817-2310 | 2017-09-06 |
| 1093239089 | Megan E Tudor | Psychologist | 2825 50th St, Uc Davis Mind Institute, Sacramento, CA 95817 | 2017-08-01 |
| 1174053177 | Meghan Rhys Miller | Psychologist | 2825 50th St, Sacramento, CA 95817-2310 | 2017-06-13 |
| 1134578099 | Andrea Schneider | Psychologist | 2825 50th St, Sacramento, CA 95817-2310 | 2016-06-10 |
| 1144691635 | Susan W Harris | Social Worker | 2825 50th St, Sacramento, CA 95817-2310 | 2015-10-09 |
| 1831575364 | Colette Defilippo | Genetic Counselor, MS | 2825 50th St, Sacramento, CA 95817-2310 | 2015-08-06 |
| 1255736476 | Rosa Denisse Rodriguez | Pediatrics | 2825 50th St, Sacramento, CA 95817-2310 | 2014-10-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346855103 | Quintin Kuse | Student in an Organized Health Care Education/Training Program | 4610 X Street, Sacramento, Sacramento, CA 95817 | 2020-09-09 |
| 1285259283 | Uc Davis Health | Dietitian, Registered | 2315 Stockton Blvd Sesp 0160, Sacramento, CA 95817 | 2020-06-15 |
| 1942840558 | Michael Marchand-gareau | Ophthalmology | Michael Marchand - Uc Davis Eye Center, 4860 Y Street, Suite 2400, Sacramento, CA 95817 | 2020-01-11 |
| 1467010728 | Jiunn Liang Jonathan Yap | Student in an Organized Health Care Education/Training Program | 4860 Y Str, Ste. 2820, Sacramento, CA 95817 | 2019-06-03 |
| 1083176614 | Kevin Lee | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd, Op512, Sacramento, CA 95817 | 2019-04-02 |
| 1508326703 | Ritika Johal | Student in an Organized Health Care Education/Training Program | 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2019-03-22 |
| 1811468838 | Paige Palsgaard | Behavior Technician | 6730 4th Ave Apt 1731d, Sacramento, CA 95817 | 2018-12-17 |
| 1922503408 | Marie Rossi | Student in an Organized Health Care Education/Training Program | 4150 V Street #1100, Sacramento, CA 95817 | 2018-03-27 |
| 1639673791 | Sean Lam | Student in an Organized Health Care Education/Training Program | 4150 V Street #1200, Sacramento, CA 95817 | 2018-03-22 |
| 1124555388 | Tatyana Polyak | Surgery | 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 | 2017-05-18 |
| Find all providers in zip 95817 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952738270 | Marshall Gollub | Psychiatry & Neurology | 1400 Jonas Ave., Sacramento, CA 95864 | 2013-10-01 |
| 1194160242 | Glen C Jickling | Psychiatry & Neurology | 2805 50th St, Rm 2415, Mind Institute, University of California Davis, Sacramento, CA 95817-2312 | 2013-05-02 |
| 1376886606 | Katherine Park | Psychiatry & Neurology | 3160 Folsom Blvd Ste 2100, Sacramento, CA 95816 | 2013-04-04 |
| 1700926920 | Fred R Samimi, Md, A Professional Corporation | Psychiatry & Neurology | 8765 Center Pkwy, #d, Sacramento, CA 95823-7682 | 2007-02-07 |
| 1447315361 | Michael Gerald Adelberg | Psychiatry & Neurology | 9856 Business Park Dr, Suite I, Sacramento, CA 95827-1704 | 2006-12-22 |
| 1669556965 | Edwin A Cruz | Psychiatry & Neurology | 3000 Q St Fl 4, Sacramento, CA 95816-7058 | 2006-10-24 |
| 1639190556 | Bryant Neal Sheehy | Psychiatry & Neurology | 3908 J Street, Suite 4, Sacramento, CA 95819 | 2006-07-23 |
| 1063450500 | Lynne Ann Love | Psychiatry & Neurology | 3727 Marconi Ave, Sacramento, CA 95821-5303 | 2006-06-04 |
| 1790741734 | Vasanthi Krishna | Psychiatry & Neurology | 87 Scripps Drive Suite 210, Sacramento, CA 95825-7977 | 2006-04-26 |
| 1407818503 | Nidal Ali Khalili | Psychiatry & Neurology | 7551 Timberlake Way, Ste 240, Sacramento, CA 95823-5422 | 2006-04-04 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95817 |
Please comment or provide details below to improve the information on REGENTS OF THE UNIVERSITY OF CA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.